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Absence of symmetry in superior articular facets on the first cervical vertebra in humans: implications for diagnosis and treatment.

OBJECTIVE: Little attention has been given to the craniovertebral articulations. Specifically, gross observations of variations of the superior articular facets on the atlas have not been described with respect to static and motion palpation findings. This study describes the anatomical variations of these facets and the clinical implications associated with asymmetrical structure. DESIGN: The superior articular facets of thirty human first cervical vertebrae were chosen for this study because the atlas constitutes the middle of the upper cervical complex and the atlanto-occipital joint contributes greatly to head movements. SETTING: The basic science research department of Logan College of Chiropractic, St. Louis, Missouri. SPECIMEN POPULATION: All available previously dissected anatomy laboratory and library specimens (30) were used in this study. All of the specimens were dry with intact facet surfaces and no regard was given to age, gender, or race. INTERVENTIONS: The atlases were studied out of situ and all soft tissue was removed so that the bony articular surfaces could be clearly viewed and photographed. MAIN OUTCOME MEASURES: Palpation and unaided visual examination were performed on 30 atlases. The shape, size, angle, texture, border, and number of superior articular facets on each atlas were recorded to determine symmetry. RESULTS: The classically described kidney-shaped facet was in fact an infrequent finding. Upon comparison of right and left sides, none (0%) of the facets were mirror images of symmetry, while 19 of the atlases (63%) had grossly asymmetrical facets, and 11 of 30 atlases (37%) had facets which were only slightly asymmetrical in regard to shape, border, depth and angle. Furthermore, 7 of the 19 grossly asymmetrical atlases (37%) had three or four separate superior articular facets. Three atlases had two facets on the left and one on the right, while two atlases had two facets on the right with a single facet on the left, and two atlases had four superior facets (two on each side). CONCLUSION: The validity of vertebral joint assessment based on the assumption of facet symmetry is challenged, impugning certain chiropractic theories and/or techniques which rely on symmetry as being "normal." To achieve symmetrical function, the anatomical structure must be symmetrical. Since true structural symmetry does not exist, true symmetry of segmental movement may not be possible.

Atlanto-Axial Joint↗

[Chiropractic diagnosis of the atlanto-occipital joint with reference to the Palmer-Sandberg-Gutman functional aspects from the traditional medic-radiologic viewpoint].

Owing to joint mechanics, movement of the atlas alone, as envisioned in HIO diagnosis for producing a superior or inferior position, is not possible when the tranverse ligament is intact, since an atlas movement of this kind would necessitate a change in the statics of the dens amounting to kyphosis or lordosis. Only in the superior or inferior position, as defined by Decking and ter Steege, is there a true malposition of the atlas as a result of atlas movement, and this is only possible if the dens assumes a lordotic or kyphotic position. In such cases all the segments of the cervical spine are used to modify dens statics. Aside from this, superior and inferior positions in HIO diagnosis do not represent any pathology requiring treatment, but normal positions of the atlas within a relatively broad physiologic range. In the vast majority of cases, providing the angle of view is horizontal, there are no findings reflecting the current position of the atlas, but rather a finding due to the development of a condyle movement.

Atlanto-Occipital Joint↗

The Morel stereotactic atlas of the human thalamus: atlas-to-MR registration of internally consistent canonical model.

In 1997, Morel, Magnin, and Jeanmonod presented a microscopic stereotactic atlas of the human thalamus. Parcellations of thalamic nuclei did not only use cyto- and myeloarchitectonic criteria, but were additionally corroborated by staining for calcium-binding proteins, which bears functional significance. The atlas complies with the Anglosaxon nomenclature elaborated by Jones and the data were sampled in three orthogonal planes in the AC-PC reference space. We report on the generation of three-dimensional digital models of the thalamus based on the three sets of sections (sagittal, horizontal, and frontal). Spatial differences between the three anatomical specimens were evaluated using the centers of gravity of 13 selected nuclei as landmarks. Subsequent linear regression analysis yielded equations, which were used to normalize the frontal and horizontal digital models to the sagittal one. The outcome is an internally consistent Canonical Model of Morel's atlas, which minimizes the linear component of the variability between the three sectioned anatomical specimens. In addition, we demonstrate the feasibility of the atlas-to-MRI registration in conjunction with on-line visualization of the trajectory in the digital models.

Brain Mapping↗

Survey anatomy of the paranasal sinuses in the normal mouse.

OBJECTIVE: To provide researchers with a survey atlas of normal paranasal sinus anatomy in the mouse as well as to standardize the reporting of data within the murine nose and sinuses. STUDY DESIGN: Histologic and radiographic study in mice. METHODS: C57BL/6 mice were killed and their heads sectioned in the axial and coronal planes as well as imaged using a small animal micro-computed tomography (CT) scanner. Distinctive regions within the nose and paranasal sinuses were delineated and labeled A to G for identification. RESULTS: Definable regions within the normal murine nose and paranasal sinuses include A) the nasal airway, B) the superior nasal vault, C) the osteomeatal complex, D) the anterior ethmoid sinuses, E) the posterior ethmoid sinuses, F) the true maxillary sinus, and G) the secondary maxillary sinus. Mice also possess discernible sphenoid sinuses. CT scans confirmed the histologic plane of section. CONCLUSIONS: A survey atlas of normal murine sinonasal anatomy shall provide laboratories seeking to use mice in sinus research a reference for beginning their work. As new transgenic and gene knockout mice become available, phenotypic changes in sinonasal architecture can be more easily discerned using such a reference. Defining specific regions (A-G) within the sinuses will standardize the nomenclature used for reporting data.

Anatomy, Comparative↗

Multiple olfactory receptor neurons and their axonal projections in the antennal lobe of the honeybee Apis mellifera.

The poreplate sensilla of honeybees are equipped with multiple olfactory receptor neurons (ORNs), which innervate glomeruli of the antennal lobe (AL). We investigated the axonal projection pattern in glomeruli of the AL (glomerular pattern), formed by the multiple ORNs of individual poreplate sensilla. We used the different glomerular patterns to draw conclusions about the equipment of poreplate sensilla with different ORN types. ORNs of single poreplate sensilla were stained and analyzed by laser-scanning confocal microscopy and 3D software (AMIRA). In 13 specimens we found between 7 and 23 ORNs. This is in accordance with data found in the literature (5-35 ORNs) suggesting that all ORNs of the single poreplate sensilla were stained. The ORNs innervate the AL via all four sensory tracts (T1-T4), and glomeruli of the anterior part of the AL are more often innervated. Each ORN innervates a single glomerulus (uniglomerular), and all ORNs of one poreplate sensillum project to different glomeruli. Visual inspection and individual identification of glomeruli, based on the honeybee digital AL atlas, were used to evaluate mapping of glomeruli by a rigid transformation of the experimental ALs onto a reference AL. ORNs belonging to individual poreplate sensilla form variable glomerular patterns, and we did not find a common organization of glomerular patterns. We conclude that poreplate sensilla are equipped with different ORN types but that the same ORN types can be found in different poreplate sensilla. The equipment of poreplate sensilla with ORNs is overlapping. The mapping of glomeruli by rigid transformation is revealed to be a powerful tool for comparative neuroanatomy.

Animals↗

Processing and analysis of form, colour and binocular disparity in the human brain: functional anatomy by positron emission tomography.

With the purpose of mapping those anatomical structures participating in the processing and analysis of form, colour and disparity information, we have measured, with positron emission tomography and [15O]butanol, regional cerebral blood flow (rCBF) as an indicator of regional cerebral metabolic activity in 13 right-handed male volunteers during visual discrimination of colour, form and disparity information. The brain images were anatomically standardized using a computerized brain atlas and statistically significant changes were localized by cluster analysis. The changes in rCBF between specific activation and reference states were measured and the volumes of changes were determined, as were the loci and volumes of areas commonly activated by two or three different tasks. Each of the tasks activated over a dozen distinct and separate fields in the cortex--in the occipital, parietal, temporal and frontal lobes as well as the cerebellum. A number of overlapping fields were commonly activated in two tasks (four in the form and colour tasks, five in the form and disparity tasks, and eleven in the colour and disparity tasks), and two field overlaps were present in all three tasks (in the right superior frontal and left lingual gyri). These findings indicate that, in a visual discrimination task, the processing and analysis of single visual submodalities take place in a number of cortical fields in the human brain. As the same visual submodality is processed and analysed by numerous fields and the same field may participate in the processing of different submodalities, a divergence-convergence pattern of information processing is present in the human brain. This observation supports a hypothesis based on earlier studies in primates, namely that information processing in the visual system requires the concerted activation of a relatively large number of fields of functional networks in the brain.

Adult↗

Normal cross-sectional anatomy of the feline thorax and abdomen: comparison of computed tomography and cadaver anatomy.

Computed tomographic images of two adult domestic short-haired cats were obtained with a whole body scanner. Images of the thorax and abdomen were compared with cross-sectional anatomy cadaver specimens from the same two cats. Anatomic structures were first identified on the cadaver specimens with the aid of numerous anatomy texts and references and were then identified and labeled on the computed tomographic images. Results from this project provide an atlas of normal cross-sectional gross and CT anatomy of the feline thorax and abdomen that can be used in the interpretation of any cross-sectional imaging modality.

Abdomen↗

Distances from the atlantal segment of the vertebral artery to the midline in children.

There are scant data in the literature regarding distances from the midline to the suboccipital segment of the vertebral artery, and to our knowledge, none addressing this measurement in the pediatric population. This study seeks to establish age-related distances (Y) from the laterally placed vertebral artery to the midline at the level of the posterior arch of the atlas in children. Measurements from the midline to the most medial portion of the vertebral artery at the level of the posterior arch of the atlas were made in 50 children who underwent CT imaging of the cervical spine. For all left sides, Y = 12-23 mm (mean 17 mm). For all right sides, Y = 10-25 mm (mean 17.5 mm). For girls, Y = 12-16 mm (mean 12.7 mm) for left sides and Y = 12-25 mm (mean 18.5 mm) for right sides. For boys, Y = 12-20 mm (mean 16 mm) for left sides and Y = 10-21 mm (mean 16.7 mm) for right sides. We have found that the most medial portion of the vertebral artery from the midpoint of the posterior arch of the atlas for all ages was approximately 17 and 17.5 mm for left and right sides, respectively. This distance was generally less for left sides, except in the 16-19 years age group. However, as a group, this distance did not vary more than 2.8 mm between left and right sides. These data should assist the neurosurgeon who operates in the suboccipital region in children.

Adolescent↗

Development of the zebrafish foveal analogue: a quantitative atlas of high-acuity zone growth and retinal regionalisation.

The vertebrate retina contains specialised regions for high-acuity vision, exemplified by the human fovea and its zebrafish analogue, the high-acuity zone (HAZ). Despite the widespread use of zebrafish to model retinal disease, a stage-resolved quantitative reference describing normal eye, photoreceptor layer (PRL) and lens growth has been lacking. Here, we apply contrast-enhanced micro-computed tomography (micro-CT) to construct the first three-dimensional micro-CT normative atlas of wild-type zebrafish eye development across five larval stages [3, 5, 7, 10 and 18 days post-fertilisation (dpf)], mapping circumferential PRL thickness, eye and lens morphology, and compartment growth rates. Regional PRL thickening within the temporo-ventral region of the expected HAZ emerged by 5 dpf and was sustained by a localised redistribution of growth, persisting and extending towards the optic nerve through 18 dpf. The PRL, lens and eye grew through four phases, alternating between disproportionate PRL expansion and coordinated growth, while the eye remodelled from a nasal-dominant to a temporo-ventral-dominant form. This regional specialisation was protracted relative to gross ocular growth and could proceed independently of it, paralleling the extended postnatal maturation of the human fovea. This atlas provides a quantitative baseline for distinguishing disease-induced changes from normal variation, supporting zebrafish models of foveal hypoplasia and related disorders.

Animals↗

[Food photography atlas: its suitability for quantifying food and nutrient consumption in nutritional epidemiological research in Córdoba, Argentina].

UNLABELLED: Food pictures are suitable visual tools for quantize food and nutrient consumption avoiding bias due to self-assessments. OBJECTIVE: To determine the perception of food portion size and to establish the efficacy of food pictures for dietaries assessments. MATERIAL AND METHODS: A food frequency questionnaire (FFQ) including 118 food items of daily consumption was applied to 30 adults representative of Córdoba, Argentina, population. Among several food models (paper maché, plastics) and pictures, those which more accurately filled the purpose were selected. 3 small, median and large standard portion size were determined. Data were evaluated with descriptive statistics tools and Chi square adherence test. RESULTS: The assessment of 51 percent of the food was assayed in concordance with the reference size. In general, the remainder was overestimated. The 90 percent of volunteers concluded that the pictures were the best visual resource. CONCLUSIONS: The photographic atlas of food is an useful material for quantize the dietary consumption, suitable for many types of dietaries assessments. In conclusion, comparison among pictures of three portions previously standardized for each food is highly recommendable.

Adult↗

Stereotaxic localization, intersubject variability, and interhemispheric differences of the human auditory thalamocortical system.

Population (probability) maps of cytoarchitectonically defined cortical maps and myeloarchitectonically defined subcortical fiber tracts of the human brain became recently available. These maps can be used for the precise anatomical localization of activated foci as found in functional imaging studies. The aim of this study is to evaluate population maps of the human acoustic radiation (AR) for the purpose of brain mapping studies. Thus, a stereotaxic 3-D representation of the human AR was computed which includes myeloarchitectonic probabilistic maps of AR and its thalamic origin, i.e. the cytoarchitectonically defined medial geniculate nucleus (MGN). These maps were compared with earlier, mostly schematic drawings of AR and MGN. To generate these maps, the degree of intersubject variability of AR and MGN in each stereotaxic position was quantified for the standard axes (x, y, and z) of the reference space in a series of 10 adult human postmortem brains. The results show that the location and volumes of AR and MGN vary considerably between individuals and hemispheres. It is demonstrated that this striking degree of spatial variations may lead to structural-functional mismatch in brain mapping studies based on the Talairach atlas (discrepancy maps). Furthermore, the volumetric measures showed no hemispheric asymmetry for AR and MGN. In contrast to earlier maps, our approach provides microanatomically defined data as a probabilistic reference system for research in auditory structure-function relationships.

Adult↗

Normal brain F-18 FDG-PET and MRI anatomy.

Image registration techniques will become increasingly important in correlative multimodality imaging. In the case of PET, a structural imaging study can be invaluable in correlating structure metabolism relationships. A registered brain atlas of PET and MRI has been developed by the authors that allows clinicians, residents, fellows, and others to refer to a structural abnormality on MRI or metabolic abnormality on PET and correlate it neuro-anatomically.

Brain↗

Regional geochemical mapping and interpretation in Britain.

Regional geochemical atlases of Britain and the British North Sea prepared by the Institute of Geological Sciences are discussed with special reference to their environmental significance. Factors affecting the selection of sample types are considered, and sample preparation, analytical procedure and monitoring error discussed. Stream sediment is shown to be the optimum sample type for regional geochemistry in areas of upland Britain underlain by crystalline bedrock, although soils may provide the optimum sample medium in areas of intensive agriculture. Geochemical mapping of the continental shelf is based on superficial seabed material obtained by grab or cone dredge. Examples of geochemical maps of northern Scotland for several elements of environmental significance including Cu, Mo, Pb, and U are considered in relation to geology, topography, vegetation, land use and the chemistry of surface waters. Geochemical maps are shown to provide the best available source of information on chemical variations in bedrock, although there are many difficulties in relating geochemical or biological activity to the total trace element values. In any attempt to correlate trace element levels with disease, careful consideration must be given to factors affecting the availability and flux of the trace elements if meaningful associations are to be obtained. Geochemical maps of the North Sea indicate that the contents of Cu, Pb, Zn, Cd and Hg are uniformly low over most of the offshore area although higher concentrations occur in coastal samples. The highest concentrations of Cu, Pb and Zn occur off the Tyne estuary while the highest values for Cd and Hg occur further south.

Geography↗

Unstable Jefferson variant atlas fractures: an unrecognized cervical injury.

We retrospectively reviewed the plain films and CT scans of 11 unstable atlas fractures from a series of 72 atlas fractures to better characterize these injuries and to determine if the correct diagnosis could have been made. These 11 atlas fractures were unstable because either the anterior bony ring was disrupted (six cases), the posterior longitudinal ligament was torn (one case), or both the anterior bony ring and the posterior longitudinal ligament were disrupted (four cases), allowing C1-C2 subluxation to occur. Although all the fractures were potentially unstable, only eight demonstrated subluxation on the lateral radiography. Despite the abnormal open mouth view in all cases, the plain films showed minimal abnormalities, requiring CT for definitive diagnosis. Less than half (five of 11) of the patients had other levels of spine injury or associated transverse ligament tear. Three of the 11 patients were quadriplegic, and two died as a result of their spinal cord injury. These unstable atlas fractures were similar to the classical Jefferson fracture in appearance and mechanism, except that they had fewer than four breaks in the atlas ring and were associated with severe neurologic injury and lower level spine injuries. The pattern of bilateral anterior arch fractures was associated more often with neurologic injury. Because of these differences, we chose to refer to them as Jefferson variant fractures to distinguish them from the classical Jefferson fracture and to emphasize the seriousness of this injury.

Cervical Atlas↗

The informatics of a C57BL/6J mouse brain atlas.

The Mouse Atlas Project (MAP) aims to produce a framework for organizing and analyzing the large volumes of neuroscientific data produced by the proliferation of genetically modified animals. Atlases provide an invaluable aid in understanding the impact of genetic manipulations by providing a standard for comparison. We use a digital atlas as the hub of an informatics network, correlating imaging data, such as structural imaging and histology, with text-based data, such as nomenclature, connections, and references. We generated brain volumes using magnetic resonance microscopy (MRM), classical histology, and immunohistochemistry, and registered them into a common and defined coordinate system. Specially designed viewers were developed in order to visualize multiple datasets simultaneously and to coordinate between textual and image data. Researchers can navigate through the brain interchangeably, in either a text-based or image-based representation that automatically updates information as they move. The atlas also allows the independent entry of other types of data, the facile retrieval of information, and the straight-forward display of images. In conjunction with centralized servers, image and text data can be kept current and can decrease the burden on individual researchers' computers. A comprehensive framework that encompasses many forms of information in the context of anatomic imaging holds tremendous promise for producing new insights. The atlas and associated tools can be found at http://www.loni.ucla.edu/MAP.

Anatomy, Artistic↗

The odontoid process in children--is it hypoplastic?

An analysis of the cervical spine of 508 normal children aged between 3 and 18.9 years provided data for the normal development of the odontoid process and its relationship to the anterior arch of the atlas. In normal children under the age of 9 years, the tip of the odontoid may fall well short of the upper margin of the anterior arch of the atlas. This has important implications for the assessment of atlanto-axial instability in children with Down's syndrome.

Adolescent↗

Detection of structural differences between the brains of schizophrenic patients and controls.

This paper investigates the validity of the null hypothesis: there are no structural differences between the brains of schizophrenic and normal control subjects that manifest themselves in MRI-T(2) data and distinguish the two populations in a statistically significant way. The data used refer to 21 schizophrenic patients and 19 normal controls, matched for age, sex and social background. The methodology used is based on three-dimensional texture analysis, which is used to quantify anisotropy in the data at scales of the order of a few millimetres. These data reject the null hypothesis. In addition, this article attempts to identify the regions of the brain that are responsible for the morphological characteristics that distinguish the two populations. For this purpose, it utilises a second texture analysis method that, in spite of being a global method, allows one to trace back to the data the origin of the features that most distinctly distinguish the two populations. This method indicates that the features that distinguish the two populations with P values smaller than 10(-6) are located in the most inferior part of the brain and in particular in the tissue that makes up the sulci. It is stressed that in order to preserve the integrity of the data for texture calculations, no registration of anatomical structures is performed, and the most inferior part of the brain is identified as referring to those slices of the scans that visually correspond to slices 1-12 of the Talairach and Tournoux brain atlas.

Adult↗

A brain atlas of the northern fulmar (Fulmarus glacialis) in stereotaxic coordinates.

The brain of a procellariiform bird, the Northern Fulmar (Fulmarus glacialis), is presented in the form of a stereotaxic atlas. The Northern Fulmar is especially interesting because both field and laboratory evidence support olfaction as one of its major sensory systems. The nasal cavity and olfactory bulb of most procellariiforms are among the largest of all avian orders; the central olfactory pathways may be more extensive as well. A brain atlas of the Northern Fulmar, a relatively accessible procellariiform species on which several studies have already been done, can provide reference for research both on neural mechanisms underlying olfaction and on comparative neuroanatomical data within Aves and between avian and nonavian groups.

Animals↗